{"title":"Fetal monitoring: medical and legal implications for the practitioner","authors":"Symonds Em","doi":"10.1097/00001703-199410000-00007","DOIUrl":"https://doi.org/10.1097/00001703-199410000-00007","url":null,"abstract":"Seventy per cent of all claims concerning intrapartum care in relation to fetal brain damage are based on abnormalities of the cardiotocograms and electronic fetal monitoring. Claims arise because of failure to take action in the presence of an abnormal cardiotocogram, or because of delayed response to an abnormal tracing. Difficulties in court arise from variations in the interpretation of the significance of recordings. The importance of taking appropriate action in the presence of an abnormal cardiotocogram, and in keeping accurate time-sensitive records is emphasized.","PeriodicalId":92345,"journal":{"name":"Current opinion in gynecology and obstetrics","volume":"5 1","pages":"430–434"},"PeriodicalIF":0.0,"publicationDate":"1994-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75643184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medical disorders in pregnancy","authors":"Michael de Swiet","doi":"10.1097/00001703-199202000-00004","DOIUrl":"https://doi.org/10.1097/00001703-199202000-00004","url":null,"abstract":"Progress in medical disorders in pregnancy has inevitably occurred over a wide front. Highlights of the past year include the use of real-time ultrasound rather than venography to diagnose deep vein thrombosis in pregnancy, the establishment of Doppler ultrasound for noninvasive measurement of cardiac output, better awareness of the risk to the fetus if the mother has immune thrombocytopenic purpura, the description of the maturation of fetal thyroid function, the problems of in utero treatment of congenital adrenal hyperplasia in the fetus, and an appreciation of the fetal risk if maternal phenylketonuria is not managed by strict dieting in pregnancy.","PeriodicalId":92345,"journal":{"name":"Current opinion in gynecology and obstetrics","volume":"56 1","pages":"28–36"},"PeriodicalIF":0.0,"publicationDate":"1992-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77885015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Drug therapy during pregnancy","authors":"J. Niebyl","doi":"10.1097/00001703-199102000-00005","DOIUrl":"https://doi.org/10.1097/00001703-199102000-00005","url":null,"abstract":"A randomized prospective trial has shown that folic acid started before conception and continued for the first trimester reduces the risk of recurrence of neural tube defects by 72% in women with a previously affected child. Carbamazepine exposure in utero is associated with a 1% risk of spina bifida. Long-term follow-up of antenatal exposure to phenobarbital and carbamazepine in two groups of infants shows no neurologic differences between the two groups. Magnesium sulfate is more effective in prevention of recurrent eclamptic seizures than phenytoin. During pregnancy, the need for thyroxine increases in many women. Vitamin B6 and ginger are both effective for nausea and vomiting in early pregnancy. Low-dose aspirin does not change the course of preeclampsia when it is started after the diagnosis is made. Angiotensin-converting enzyme inhibitors cause significant disturbances of fetal and neonatal renal function. Prophylactic β-adrenergic agents fail to prevent prematurity in twins. Oral tocolysis with magnesium chloride or ritodrine is no more effective than observation alone. The risk of primary pulmonary hypertension in the newborn after indomethacin tocolysis is increased with prolonged therapy. Lithium causes polyhydramnios from fetal diabetes insipidus in utero. Treatment of Ureaplasma urealyticum infection with erythromycin during pregnancy does not eliminate the organism from the lower genital tract and does not improve perinatal outcome.","PeriodicalId":92345,"journal":{"name":"Current opinion in gynecology and obstetrics","volume":"49 1","pages":"43–47"},"PeriodicalIF":0.0,"publicationDate":"1991-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79829841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}